MRS. WILLIE MAE M JESSOP CFNP NPI 1952475642

NPI Information

NPI: 1952475642
Provider Name: MRS. WILLIE MAE M JESSOP, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
215 E 5TH STREET
WOOLFOLK SCHOOL-BASED CLINIC GA CARMICHAEL FAMILY HEALT
YAZOO CITY, MS
ZIP 39194
Phone: (662) 716-0691
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MRS. Willie Mae M Jessop, CFNP is a family nurse practitioner in Yazoo City, MS. MRS. Willie Mae M Jessop, CFNP NPI is 1952475642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

215 E 5TH STREET
WOOLFOLK SCHOOL-BASED CLINIC GA CARMICHAEL FAMILY HEALT
YAZOO CITY, MS
ZIP 39194
Phone: (662) 716-0691
Fax: (662) 716-0689

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R107300	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0118259	MEDICAID	MISSISSIPPI
2	S36432	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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